Individual
MARCY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBA
Contact information
Practice address
312 BROOK RD, RICHMOND, VA 23220-4225
(804) 651-5005
Mailing address
6377 SPRINGCREST LN, RICHMOND, VA 23231-5326
(804) 651-5005
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
812082022
IRS
VA
Enumeration date
01/24/2019
Last updated
06/11/2019
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